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Summer 2023 Exam 2 Flashcards | StudBud
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Summer 2023 Exam 2
Summer 2023 Exam 2
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1
What is a normal temperature for newborns?
96.8 °F
99.0 °F
97.0 °F
99.9 °F
2
All of these can affect a patient's respirations except:
Medications
Decreased hemoglobin
Smoking
Body mass index
3
The Romberg's sign involves having the patient stand with arms out and eyes closed.
False
True
4
Which is considered objective data?
Pain
Blood Pressure
Blurry vision
Nausea
5
What is the correct technique for measuring blood pressure?
Use whatever size cuff is available.
Place stethoscope under the cuff.
Choose a site that has an IV or dialysis shunt.
Have patient sitting or lying down.
6
Teaching a patient to give an enoxparin injection is part of what step of the nursing process?
Implementation
Evaluation
Planning
Assessment
7
What is the term for unwanted touch?
Unintentional tort
Assault
False Imprisonment
Battery
8
Which is true about asculating the chest?
Listen to both the anterior and posterior thorax.
You should have the patient take quick deep breaths.
You should use the bell of the stethoscope.
Listen for at least one minute in each area.
9
When should you remeasure a vital sign by an assistive personel?
When you don't trust them
When one vital sign is out of range
When the vital signs appear to be normal
When they are in training
10
"The patient will ambulate 20 feet by the end of the shift." is an example of which part of the nursing process?
Planning
Evaluation
Implementation
Assessment
11
Which is
not
in the scope of practice for an LPN?
Collect samples for testing
Assisting MD with treatments and exams
Observing patients
Assisting patients with bathing
12
Evaluating outcomes, and recognizing cues are part of:
SOAP notes
A nurse's intuition
NCSBN framework for dcision making
The health history
13
You are assessing pain on an 8 year old. What is an appropriate pain tool?
Observing the child's face
Visual Analog Scale
Asking the child to make a face to signify their pain
FLACC
14
Educational level, occupation, and ethnicity are all included where?
Health History
Billing Form
Triage Assessment
Health Assessment
15
Where can the apical pulse be found?
Right third intercoastal space, mid axillary line
Left fifth intercoastal space, midclavicular line
Right third intercoastal space, mid axillary line
Right fifth intercoastal space, midclavicular line
16
What term means to avoid causing harm to the patient?
Justice
Beneficence
Autonomy
Nonmaleficence
17
Which adult patient would you go see first?
Male with respirations of 22
Female with temp of 100.4 °F
Female patient with an O2 sat of 84%
Male with heartrate of 112
18
How can the nurse facilitate communication when obtaining a health history?
Position the computer between the nurse and the patient
Use open ended questions.
Remind the client the nurse only has 15 minutes to collect the history
Ask yes or no questions
19
When a nurse pinches a section of the patient's skin and observes it's recoil, what is being assessed?
Bowel sounds
Skin integrity
Skin turgor
PERRLA
20
An elderly patient's temp may be higher than a younger person.
False
True
21
How would a nurse document someone who arouses only to painful stimuli?
Comatose
Stuporous
Obtunded
Lethargic
22
What is the clinical term for someone who is cross-eyed?
Strabismus
Ptosis
Nystagmus
Red reflex
23
What strength would you grade a muscle that has normal strength?
4
2
3
5
24
Which is not a patient right according to the patient safety alliance?
Right to copies of medical records
Right to Confidentiality
Right to bring family members into treatment room
Right to respectful care
25
The Rinne test allows us to assess for conductive hearing loss through bone conduction.
False
True
26
Where would you assess for rebound tenderness?
Abdomen
Feet
Scalp
Lower Back
27
When should you take vital signs?
During a blood transfusion
On admission
All of these
When the patient's condition changes
28
Which is not a part of the health history?
Chief complaint
Family History
Physcial Assessment
History of Present illness
29
What type of assessment involves only one body part?
Shift assessment
Emergent assessment
Admission assessment
Focused assessment
30
Which is
not
true of the nurse practice act?
National set of standards
Scope for education, licensure, scope of practice, and discipline
The purpose is to protect the public
Regulates the practice of nursing
31
When utilizing the chain of command, the RN should report to the chief nursing officer.
True
False
32
Who is considered the pioneer of modern nursing?
Lillian Ward
Florence Nightingale
Dorothea Dix
Clara Barton
33
What sound do you expect to hear when you percuss the lungs?
Dullness
Tympany
Hyperresonance
Resonance
34
Forward rounding of the spine is known as:
Kyphosis
Spinosis
Lordosis
Scoliosis
35
Who has a heartrate that is out of normal range?
15 year old: 52 bpm
6 year old: 104
3 year old: 158 bpm
34 year old: 98
36
How should you assess a child's ear using an otoscope?
Otoscope is contraindicated until 8 years old
Push the otoscope straight in
Pull the auricle up and back
Pull the auricle down and back
37
What type of sound would you here if you percussed over bone?
Dull
Flat
Resonance
Tympany
